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PATIENT ACCOUNTS REP OP

Job Posted 1/18/2025
Blount Memorial Hospital
Alcoa, TN 37701
United States
Category Other
Job Description
  • JOB SUMMARY
    • Prepares and submits primary and secondary hospital claims to appropriate third-party payors. Analyzes and reviews claims to ensure that payor-specific billing requirements are met. Follows up on billing to determine status and secure timely and appropriate reimbursement.
  • JOB SPECIFICATIONS
    • Education and/or experience: High School Diploma or equivalent required. At least two (2) years experience in a related role, such as billing, customer service, or third party payor follow up; 2 years experience as a Financial Poster or Patient Access I; 1 year experience as a Sr. Financial Poster or Patient Access II; or equivalent experience preferred. Experience with McKesson Paragon, ePremis, NextGen, Point Click Care, Brightree or similar systems preferred.
    • Knowledge: Basic knowledge of medical and managed care terminology and UB04 and/or 1500 billing guidelines preferred. Understanding of 835 denial reason codes preferred. Requires knowledge of clerical procedures for managing files and records.
    • Skills: Requires clear and effective written and verbal communication skills and strong interpersonal skills. Must be proficient with Microsoft Office programs. Strong mathematical skills required. Must be proficient in data entry and the use of computers and telephones. Possess analytical skills to organize/assess information and provide recommendations.
    • Abilities: Requires an ability to work both independently and effectively in a team environment and is comfortable complying with set processes. Provides an assertive and professional approach to the timely billing, collection, management and resolution of unpaid insurance balances. Must be dependable, self-motivated and adaptable. Requires a high degree of problem solving abilities. Must be able to multi-task. Is able to interpret and apply billing guidelines to daily processes.